Trigger Finger: Why It Happens and How We Treat It

Trigger finger is a common hand condition that causes your finger to lock or catch in a bent position—often due to tendon inflammation. Dr. Todd Pitts explains why it happens, how we treat it with conservative care or a minor surgical procedure, and what recovery looks like.

Symptoms of Trigger Finger:

  • Finger stiffness—especially in the morning

  • A popping or clicking sensation when moving the finger

  • Tenderness or a bump (nodule) at the base of the finger

  • Pain when bending or straightening the finger

  • Locking or catching in a bent position

  • Trigger finger (also called stenosing tenosynovitis) happens when the tendon in your finger becomes inflamed and can no longer glide smoothly through its sheath (a tunnel-like structure that keeps the tendon aligned with the bone). When this happens, the finger may get stuck in a bent position and suddenly pop straight—like a trigger being pulled and released.

    It’s most common in people who perform repetitive gripping actions, but it can affect anyone.

    • Non-Surgical Options:

      • Activity modification: Avoid repetitive grip-intensive movements

      • Bracing: Keep the finger straight to rest the tendon

      • Anti-inflammatory medications: Reduce swelling

      • Steroid injections: Targeted relief at the problem site

    Trigger Finger Release Surgery:

    • If symptoms persist or locking becomes painful and frequent, a quick outpatient procedure can relieve the tendon.

      • A small incision is made at the base of the affected finger

      • The opening of the tendon sheath is gently released

      • This eliminates the catching point and restores smooth movement

    • Surgery time: ~10 minutes

    • Immediate motion encouraged to prevent stiffness

    • Mild soreness and stiffness for a few weeks

    • Most patients regain full use of their hand and experience no more locking

    Our goal is to help you return to full hand function without restrictions or pain.